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JACQUETTA S RICHARDSON
NPI 1194342824
Social Worker in Baltimore, MD

Active since June 29, 2020PECOS Enrolled
5820 YORK RD, BALTIMORE, MD 21212(301) 345-1022 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquetta S Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUETTA S RICHARDSON (NPI 1194342824) is an individual social worker in Baltimore, Maryland, licensed in Maryland (25947) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194342824
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJACQUETTA S RICHARDSON
Location Address5820 YORK RDBaltimore, MD 21212-3610
Mailing Address5820 York RdBaltimore, MD 21212-3610 · (301) 345-1022
Phone(301) 345-1022
Sole ProprietorNo
Enumeration DateJune 29, 2020
NPPES CertifiedJune 29, 2020
✔ NPI 1194342824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MD · 25947
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
5820 YORK RD, Baltimore, MD 21212
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquetta S Richardson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROXANA IOANA OLIVER LMSW
Social Worker
5820 YORK RD
BALTIMORE, MD 21212
Baltimore City (443) 438-4095
MISS RANIKA MARTIN LGSW
Social Worker
5820 YORK RD, SUITE 202
BALTIMORE, MD 21212
Baltimore City (301) 345-1022
VANESSA ALEXANDRA MATEO LGPC
Counselor (Professional)
5820 YORK RD
BALTIMORE, MD 21212
Baltimore City (301) 345-1022
MELVA GREEN M.D.
Psychiatry & Neurology (Psychiatry)
5820 YORK RD, SUITE 204
BALTIMORE, MD 21212
Baltimore City (443) 803-2473
JENA RHODES LGSW
Social Worker
5820 YORK RD, SUITE 202
BALTIMORE, MD 21212
Baltimore City (301) 345-1022
ELAINA DANCE LCSW-C
Social Worker (Clinical)
5820 YORK RD, SUITE 201
BALTIMORE, MD 21212
Baltimore City (410) 800-2169
SAMUEL BENJAMIN HOPKINS MSW
Social Worker
5820 YORK RD
BALTIMORE, MD 21212
Baltimore City (410) 800-2169
ADVANCED BEHAVIORAL HEALTH, INC
Community/Behavioral Health
5820 YORK RD
BALTIMORE, MD 21212
Baltimore City (301) 345-1022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquetta Richardson's NPI number?

The NPI number for Jacquetta Richardson is 1194342824. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Where is Jacquetta Richardson located?

Jacquetta Richardson practices at 5820 York Rd, Baltimore, MD 21212. The listed phone number is (301) 345-1022.

What is Jacquetta Richardson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jacquetta Richardson enrolled in Medicare?

Yes. Jacquetta Richardson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquetta Richardson was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.